Individual
JOHN O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
56 W FREDERICK ST, WALKERSVILLE, MD 21793-8254
(301) 898-4300
Mailing address
56 W FREDERICK ST, WALKERSVILLE, MD 21793-8254
(301) 898-4300
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2211
MD
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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